بررسی نسبت فراوانی پلاسنتا آکرتا در زنان کاندیدای سزارین غیراورژانسی با سابقه سزارین قبلی مراجعه کننده به بیمارستان‌های زنان سطح شهر تبریز: 95-1391

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

2 دانشیار گروه بیهوشی، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

3 متخصص زنان و زایمان، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

چکیده

مقدمه: عدم اطلاع از شیوع پلاسنتا آکرتا موجب بروز عوارض ناخواسته در زنان مستعد می‌شود و آگاهی از شیوع این عارضه می‌تواند روش‌های تشخیصی و درمانی در زنان مستعد را در مطالعات آتی تضمین نماید؛ لذا مطالعه حاضر با هدف بررسی نسبت فراوانی پلاسنتا آکرتا در زنان کاندید سزارین غیراورژانسی با سابقه سزارین قبلی مراجعه‌کننده به بیمارستان‌های زنان سطح شهر تبریز انجام شد.
روش‌کار: این مطالعه توصیفی تحلیلی در طی سال‌های 95-1391 در دو بیمارستان الزهراء و طالقانی تبریز با مشارکت 310 زن کاندید سزراین غیراورژانسی انجام شد. اطلاعات هر فرد شامل اطلاعات جمعیت‌شناختی و اطلاعات مربوط به بیماری در چک‌لیست پژوهشگر ساخته وارد شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 20) و آزمون‌های آماری رگرسیون و همبستگی اسپیرمن انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته‌ها: 55 نفر (74/17%) به پلاسنتا آکرتا مبتلا بودند و متغیرهایی نظیر سن (001/0=p)، شاخص توده بدنی (003/0=p)، تعداد سزارین قبلی (002/0=p)، مصرف سیگار (036/0=p)، تعداد بارداری قبلی (002/0=p)، سابقه میومکتومی (001/0=p)، خونریزی در سه ماهه سوم (003/0=p) و تعداد قل‌های حین زایمان (001/0=p) با ابتلاء به پلاسنتا آکرتا ارتباط آماری معناداری داشتند.
نتیجه‌گیری: شیوع پلاسنتا آکرتا در مطالعه حاضر 74/17% بود که انجام اقدامات تشخیصی دقیق جهت اطلاع از این عارضه را ضروری می‌نماید.

کلیدواژه‌ها


عنوان مقاله [English]

Prevalence rate of placenta accreta in women candidates for non-emergency cesarean section with previous cesarean section referred to Tabriz Women's Hospitals: 2012-2016

نویسندگان [English]

  • Fatemeh Abasalizadeh 1
  • Shamsi Abasalizadeh 2
  • Ladan Kalafi 3
1 Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
2 Associate Professor, Department of Anesthesiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
3 Gynecologist, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
چکیده [English]

Introduction: Lack of knowledge about the prevalence of placenta accreta causes unintended complications in susceptible women. Awareness of its prevalence can guarantee the diagnostic and therapeutic methods in susceptible women in future studies. This study was performed with aim to evaluate the prevalence rate of placenta accreta in women candidate for non-emergency cesarean section with previous cesarean section referred to Tabriz women's hospitals.
Methods: This descriptive-analytical study was performed during 2012-2016 at Tabriz two hospitals of Al-Zahra and Taleghani with the participation of 310 women candidate for non-emergency cesarean. The individual information including demographic characteristics and disease-related information was included in the researcher-made checklist. Data were analyzed using SPSS software (version 20) and Spearman correlation and regression tests. PResults: 55 patients (17.74%) had placenta accreta; the variables such as age (P=0.001), BMI (P=0.003), number of previous cesarean section (P=0.002), cigarette smoking (P=0.036), number of previous pregnancies (P=0.002), history of myomectomy (P=0.001), third trimester hemorrhage (P=0.003), and number of baby during delivery (P=0.003) were significantly associated with placenta accreta.
Conclusion: The prevalence of placenta accreta was 17.74% in the present study, which necessitates doing precise diagnostic measures to be aware of this complication.

کلیدواژه‌ها [English]

  • Elective cesarean section
  • Placenta Accreta
  • Prevalence
  • Risk Factor
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